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Gradient compression stocking, full length/chap style, 18-30 mmhg, each

HCPCS code

Name of the Procedure:

Gradient Compression Stocking, Full Length/Chap Style, 18-30 mmHg

Common Name: Compression Stockings
Technical/Medical Term: Gradient Compression Stocking, Full Length/Chap Style, 18-30 mmHg

Summary

Gradient compression stockings are specialized hosiery designed to help prevent and manage various venous disorders. By applying a specific level of pressure ranging from 18-30 mmHg, these stockings help improve blood flow in the legs.

Purpose

Medical Conditions:
  • Chronic venous insufficiency
  • Varicose veins
  • Deep vein thrombosis (DVT) prevention
  • Edema
Goals:
  • Improve blood circulation in the legs
  • Reduce swelling and discomfort
  • Prevent blood clots
  • Enhance overall leg health

Indications

Symptoms and Conditions:
  • Swelling in the legs or feet
  • Pain and fatigue in the legs
  • Varicose veins
  • Post-surgical patients with limited mobility
Suitable Patients:
  • Adults experiencing chronic leg swelling
  • Individuals with a history of venous disorders
  • Patients recovering from surgery or injury

Preparation

Instructions:
  • Measure leg size to ensure proper fit
  • Discuss any current medications with a healthcare provider
  • No specific fasting or diagnostic tests required

Procedure Description

Steps:
  1. Select the appropriate size based on measurements.
  2. The stocking is placed on the foot and gradually pulled upward to the thigh, ensuring even distribution and avoiding wrinkles.
  3. Adjust the stocking to ensure a smooth fit without cutting off circulation at the top.
Tools and Equipment:
  • Gradient Compression Stocking, Full Length/Chap Style
Anesthesia:
  • None required

Duration

  • The application of the stocking typically takes a few minutes.

Setting

  • Can be done at home or in a clinical setting for initial guidance.

Personnel

  • Nurse or healthcare provider (initial fitting)
  • Patient (daily application)

Risks and Complications

Common Risks:
  • Skin irritation
  • Discomfort
Rare Complications:
  • Circulation issues if not fitted correctly
  • Skin sores if worn improperly

Benefits

  • Improved leg circulation
  • Reduced swelling and discomfort
  • Prevention of blood clots
  • Immediate relief from swelling, with long-term benefits over consistent use

Recovery

Post-Procedure Care:
  • Regular inspection of skin for any signs of irritation or sores
  • Washing the stockings regularly according to manufacturer instructions
  • Follow-up with a healthcare provider if issues arise
Recovery Time:
  • Immediate benefit upon use, with ongoing improvement over time

Alternatives

Other Options:
  • Compression bandages
  • Elevation of legs
  • Medications to improve circulation
Pros and Cons:
  • Bandages: Adjustable but more cumbersome
  • Elevation: Simple, but less effective for severe cases
  • Medications: Effective for some, but potential side effects

Patient Experience

  • Initial tight feeling which should ease as used to it
  • Comfort measures: Apply stockings first thing in the morning when swelling is minimal
  • Pain management: Generally not needed, comfortable once properly fitted

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